A. Kasmia, M.Sc., M.D.

Baldwin Neurology, LLC, 188 Hospital drive Suite 300, Fairhope, Al 36532.

Phone (251)-990-1910, Fax (251)-990-1911

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Neurology news

Rasagiline may slow decline of Parkinson's disease:

The Parkinson's study group reported that Rasagiline may be beneficial in preventing decline in early Parkinson's disease.  Study goal was to show whether rasagiline can slow progression in early Parkinson's disease.  Patient who took the medication  for the full 12 months did better than those delayed treatment.  Some patients were given this drug 6 months later to see the effects of not treating early.  Researchers found that patient who took 1mg/day or 2/mg of rasagiline where less likely to decline in activities of daily living and the UPDRS scale.  Analysis of an on-going open label study (Mark Lew et al) has suggested long term safety and efficacy. Theoretically this agent provides protection against the progressive neurodegenerative process of this disease and therefore future studies are needed.

Milk and Parkinson's disease:

The quest for the cause or causes of Parkinson's disease continues.  Recently a study published in the journal neurology suggested increased incidence of Parkinson's disease with milk consumption. The authors have evaluated milk intake in middle aged men between the age of 45 to 68 years.  A 2-3 times increased risk of developing Parkinson's disease is noted in those who consumed more than 16 OZ per day.  Evidence suggests that nutrient intake may have and important association with the incidence of Parkinson's disease.  Most studies are retrospective, in fact this particular is also retrospective (1965-1968, 7500 men observed).  Whether observed mediated through certain nutrients or other neurotoxins in the milk is not known and further studies ( prospected controlled) are needed.  Ref. (neurology 64:6, 2005)

Apomorphine injection provides rescue:

Certain aspects of advanced Parkinson's disease, such as dyskinesias and motor fluctuations are hard to control with currently available medical treatment.  Continuous subcutaneous injection of apomorphine is an effective and well-tolerated solution for untreated motor fluctuations in patients with Parkinson's disease, according a new poster presentation.  This poster was presented the 2005 during the american academy of  neurology meeting. ref. (57 annual program, 2005, S47.007)

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